A patient’s evaluation of the care received at our practice is an extremely important form of feedback that provides valuable information about the services we provide. We encourage patients to provide both positive and negative feedback.

How did you find out about our practice?

Was the person who scheduled your appointment courteous and helpful?

How would you rate the courtesy of the staff at the reception desk?

How long did you wait in the reception area beyond your scheduled appointment time?

Mark the boxes that characterised the demeanour of your clinician.

Attentive

Concerned

Friendly

Distracted

Rushed

Inconsiderate

Please rate the clarity of the clinician’s explanation of your condition and treatment options.

Outstanding

Good

Adequate

Needs to improve

Poor

Were your questions answered to your satisfaction?

Mark the boxes that characterised the demeanour of your dental assistant.

Attentive

Concerned

Friendly

Distracted

Rushed

Inconsiderate

Mark the boxes that describe the suctioning technique of the dental assistant during treatment.

Comfortable

Efficient

Considerate

Needs to improve

Poor

NA

How would you rate the practice (appearance, comfort and atmosphere).

Would you recommend this facility and its staff to your family and friends?